Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ideal Dental St Johns PLLC

Organization Dentist · NPI 1073344917

Ideal Dental St Johns PLLC is a Dentist in St Johns, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

145 Beachwalk Shore Dr Ste 400
St Johns, FL 32259-1168
Phone: (904) 209-3042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1073344917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Doan — Owner · (972) 331-8067
NPI enumeratedAugust 12, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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